47D2286577 CLIA NUMBER - GOOD NEIGHBOR HEALTH CLINICS AND RED LOGAN DENTAL

Laboratory Demographics

CLIA Number: 47D2286577

Facility Name: GOOD NEIGHBOR HEALTH CLINICS AND RED LOGAN DENTAL

Facility Address:
70 NORTH MAIN ST
WHITE RIVER JUNCTION, VT
ZIP 05001
Get Directions

Facility Phone Number: 802 295-1868

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1720365125

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	47D2286577
LAB Type	Community Clinic
Facility Name	GOOD NEIGHBOR HEALTH CLINICS AND RED LOGAN DENTAL
Street	70 NORTH MAIN ST
City	WHITE RIVER JUNCTION
State	VT
ZIP	05001
Phone	802 295-1868
CertificateType	4
CertificateEffectiveDate	8/1/2023
CertificateExpirationDate	7/31/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024